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Diagnosis and management strategies are considered. Enthesophyte fractures should be treated using a conservative management approach focused on increasing range of motion, progressive resistance exercises and eccentric loading, alongside strategies to reduce joint strain.<\/jats:p>","DOI":"10.1136\/bcr-2024-263992","type":"journal-article","created":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T16:24:16Z","timestamp":1742401456000},"page":"e263992","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Fracture of a patellar enthesophyte"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4675-7204","authenticated-orcid":false,"given":"Rory","family":"Thompson","sequence":"first","affiliation":[{"name":"Emergency Department, Redland Hospital, Cleveland, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William","family":"Thompson","sequence":"additional","affiliation":[{"name":"Orthopaedic Integrated Clinical Assessment and Treatment Service, Southern Health and Social Care Trust, Portadown, UK"},{"name":"Church Walk Surgery, Lurgan, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,3,19]]},"reference":[{"key":"2025082711345187000_18.3.e263992.1","first-page":"100301","article-title":"Age estimation using vertebral bone spurs; Testing the efficacy of three methods on a European population","volume":"6","author":"Sluis","year":"2022","journal-title":"Forensic Science International: Reports"},{"key":"2025082711345187000_18.3.e263992.2","doi-asserted-by":"publisher","DOI":"10.1177\/1602400327"},{"key":"2025082711345187000_18.3.e263992.3","doi-asserted-by":"crossref","first-page":"143","DOI":"10.2519\/jospt.2015.0402","article-title":"Fracture through an enthesophyte on the olecranon process","volume":"45","author":"Hoppes","year":"2015","journal-title":"J Orthop Sports Phys Ther"},{"key":"2025082711345187000_18.3.e263992.4","first-page":"E52","article-title":"Open fracture as a rare complication of olecranon enthesophyte in a patient with gout","volume":"40","author":"Kakel","year":"2011","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"2025082711345187000_18.3.e263992.5","doi-asserted-by":"publisher","DOI":"10.1002\/1529-0131(200003)43:3<576::AID-ANR14>3.0.CO;2-A"},{"key":"2025082711345187000_18.3.e263992.6","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1016\/S0307-742X(21)00266-6","article-title":"Enthesopathy","volume":"5","author":"Niepel","year":"1979","journal-title":"Clin Rheum Dis"},{"key":"2025082711345187000_18.3.e263992.7","doi-asserted-by":"crossref","first-page":"2429","DOI":"10.1002\/art.38729","article-title":"Osteophytes, enthesophytes, and high bone mass: a bone-forming triad with potential relevance in osteoarthritis","volume":"66","author":"Hardcastle","year":"2014","journal-title":"Arthritis Rheumatol"},{"key":"2025082711345187000_18.3.e263992.8","doi-asserted-by":"publisher","DOI":"10.1136\/ard.56.2.85"},{"key":"2025082711345187000_18.3.e263992.9","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1148\/radiographics.7.5.3331209","article-title":"The spectrum of avulsion and avulsion-like injuries of the musculoskeletal system","volume":"7","author":"Tehranzadeh","year":"1987","journal-title":"Radiographics"},{"key":"2025082711345187000_18.3.e263992.10","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1097\/BOT.0000000000001063","article-title":"Fracture and Dislocation Classification Compendium-2018","volume":"32 Suppl 1","author":"Meinberg","year":"2018","journal-title":"J Orthop Trauma"},{"key":"2025082711345187000_18.3.e263992.11","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1016\/j.arthro.2006.01.008","article-title":"What, if Any, Are the Indications for Arthroscopic Debridement of the Osteoarthritic Knee?","volume":"22","author":"Stuart","year":"2006","journal-title":"Arthroscopy"},{"key":"2025082711345187000_18.3.e263992.12","doi-asserted-by":"crossref","first-page":"4727","DOI":"10.1007\/s00068-022-01993-0","article-title":"Epidemiology, classification and treatment of patella fractures: an observational study of 3194 fractures from the Swedish Fracture Register","volume":"48","author":"Kruse","year":"2022","journal-title":"Eur J Trauma Emerg Surg"},{"key":"2025082711345187000_18.3.e263992.13","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1002\/art.39458","article-title":"Enthesitis","volume":"68","author":"Kehl","year":"2016","journal-title":"Arthritis Rheumatol"},{"key":"2025082711345187000_18.3.e263992.14","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-014-0579-2"},{"key":"2025082711345187000_18.3.e263992.15","doi-asserted-by":"crossref","unstructured":"Maag L , Linder S , Hackett L , et al . 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